keyword
https://read.qxmd.com/read/38365453/patient-experiences-of-undergoing-abortion-with-and-without-an-ultrasound-scan-in-britain
#1
JOURNAL ARTICLE
Rebecca Blaylock, Patricia A Lohr, Lesley Hoggart, Pam Lowe
BACKGROUND: Routine ultrasound scanning to determine gestational age and pregnancy location has long been part of pre-abortion assessment in Britain, despite not being legally required or recommended in national clinical guidelines. To support implementation of fully telemedical abortion care (implemented in Britain in April 2020), the Royal College of Obstetricians and Gynaecologists (RCOG) issued clinical guidance for an 'as-indicated' approach to pre-abortion ultrasound, removing the need for a clinic visit...
February 16, 2024: BMJ Sexual & Reproductive Health
https://read.qxmd.com/read/38279942/safety-of-methotrexate-administration-in-women-with-pregnancy-of-unknown-location-deemed-to-have-high-risk-of-ectopic-pregnancy
#2
JOURNAL ARTICLE
C S Jin, C Uzuner, G Condous
OBJECTIVES: This study evaluates the safety of current guidelines on methotrexate (MTX) administration in women with pregnancy of unknown location (PUL) who are considered to have high risk of underlying ectopic pregnancy (EP) and to investigate whether this would result in inadvertent exposure of MTX to viable intra-uterine pregnancy (IUP). METHODS: A retrospective observational study was conducted on clinically stable women who were classified PUL at Early Pregnancy Unit, Nepean Hospital, between 2007 and 2021...
January 27, 2024: Ultrasound in Obstetrics & Gynecology
https://read.qxmd.com/read/38180566/the-german-guideline-obesity-in-pregnancy-comparison-with-the-international-approach
#3
REVIEW
Markus Schmidt, U M Schaefer-Graf
BACKGROUND: Obesity is an increasing problem, even in young women of reproductive age. Obesity has a negative impact on conception, the course of pregnancy, and neonatal outcomes. Caring for obese pregnant women has becoming an important aspect of standard prenatal care. The Guideline "Obesity and Pregnancy" of the German Society of Gynecology and Obstetrics aims to create evidence-based recommendations which can be used to improve the care of obese pregnant women. As obesity is a worldwide problem, many societies for obstetrics and gynecology have created national guidelines...
January 5, 2024: Archives of Gynecology and Obstetrics
https://read.qxmd.com/read/38171035/expanding-the-role-of-chromosomal-microarray-analysis-in-the-evaluation-of-recurrent-pregnancy-loss
#4
REVIEW
Jasmine Eliwa, Ralph S Papas, William H Kutteh
Multiple factors contribute to recurrent pregnancy loss (RPL). This review highlights the latest international guidelines for RPL workup, including immunological testing, by the American Society for Reproductive Medicine (ASRM), the European Society of Human Reproduction and Embryology (ESHRE), and the Royal College of Obstetricians and Gynaecologists (RCOG). These three societies recommend testing for antiphospholipid syndrome. ESHRE and RCOG also recommend thyroid peroxidase antibody testing, whereas ASRM does not...
February 2024: Journal of Reproductive Immunology
https://read.qxmd.com/read/38150814/challenges-in-timing-and-mode-of-delivery-in-morbidly-obese-women
#5
REVIEW
Nivedita R Aedla, Tahir Mahmood, Badreldeen Ahmed, Justin C Konje
Globally obesity is increasing especially in the reproductive age group. Pregnant women with obesity have higher complication and intervention rates. They are also at increased risk of stillbirth and intrapartum complications. Although organisations like NICE, RCOG, ACOG and WHO have published guidelines and recommendations on care of pregnant women with obesity the evidence from which Grade A recommendations can be made on timing and how to deliver is limited. The current advice is therefore to have discussions with the woman on risks to help her make an informed decision about timing, place, and mode of delivery...
November 22, 2023: Best Practice & Research. Clinical Obstetrics & Gynaecology
https://read.qxmd.com/read/37976303/cervical-cerclage-a-comprehensive-review-of-major-guidelines
#6
REVIEW
Sonia Giouleka, Eirini Boureka, Ioannis Tsakiridis, Antonios Siargkas, Apostolos Mamopoulos, Ioannis Kalogiannidis, Apostolos Athanasiadis, Themistoklis Dagklis
IMPORTANCE: Cervical cerclage (CC) represents one of the few effective measures currently available for the prevention of preterm delivery caused by cervical insufficiency, thus contributing in the reduction of neonatal morbidity and mortality rates. OBJECTIVE: The aim of this study was to review and compare the most recently published major guidelines on the indications, contraindications, techniques, and timing of placing and removal of CC. EVIDENCE ACQUISITION: A descriptive review of guidelines from the American College of Obstetricians and Gynecologists (ACOG), the Royal College of Obstetricians and Gynaecologists (RCOG), the Society of Obstetricians and Gynaecologists of Canada (SOGC), and the International Federation of Gynecology and Obstetrics (FIGO) on CC was carried out...
September 2023: Obstetrical & Gynecological Survey
https://read.qxmd.com/read/37838240/racial-and-ethnic-disparities-in-eligibility-for-postpartum-venous-thromboembolism-prophylaxis-in-the-united-states
#7
JOURNAL ARTICLE
Alexa I K Campbell, Yan Xu, Leslie Skeith, Jerome J Federspiel
BACKGROUND: Postpartum venous thromboembolism (VTE) incidence differs by race and ethnicity in the United States. However, it is unclear whether eligibility criteria for postpartum VTE prophylaxis mirrors this disparity. METHODS: We analyzed the National Inpatient Sample from October 2015 through December 2019, using diagnosis and procedure codes to identify postpartum individuals and their VTE risk factors. We compared proportion of delivery hospitalizations meeting eligibility for thromboprophylaxis stratified by race/ethnicity, according to American College of Gynecology and Obstetrics (ACOG), American College of Chest Physicians (ACCP), Royal College of Obstetricians and Gynecologists (RCOG) and American Society for Hematology (ASH) guidelines...
October 12, 2023: Journal of Thrombosis and Haemostasis: JTH
https://read.qxmd.com/read/37510883/the-diagnostics-and-treatment-of-recurrent-pregnancy-loss
#8
REVIEW
Julia Tomkiewicz, Dorota Darmochwał-Kolarz
Recurrent pregnancy loss is a common problem in the reproductive age population of women. It can be caused by many different conditions. This problem is addressed in international guidelines that take a slightly different approach to its diagnosis and treatment. The guidelines used in this review mainly use the guidelines of the Royal College of Obstetricians and Gynaecologists (RCOG), American Society of Reproductive Medicine (ASRM) and European Society of Human Reproduction and Embryology (ESHRE). This review shows how much the approach to miscarriages has changed and how much more needs to be explored and refined...
July 19, 2023: Journal of Clinical Medicine
https://read.qxmd.com/read/37308997/use-of-the-rcog-risk-assessment-model-and-biomarkers-to-evaluate-the-risk-of-postpartum-venous-thromboembolism
#9
JOURNAL ARTICLE
Hua Li, Sheng Wan, Jindan Pei, Lu Zhang, Jing Peng, Ronghua Che
BACKGROUND: Venous thromboembolism (VTE) is a leading cause of morbidity and mortality during pregnancy and the puerperium. The vast majority of VTE occurs after childbirth. China has not yet established standard risk assessment model for postpartum venous thromboembolism (VTE), the Royal College of Obstetricians and Gynecologists (RCOG) risk assessment model (RAM) is commonly used in clinic at present. Herein, we aimed to evaluate the validity of the RCOG RAM in the Chinese population and try to formulate a local risk assessment model by combining with other biomarkers for VTE prophylaxis...
June 12, 2023: Thrombosis Journal
https://read.qxmd.com/read/37244456/national-and-international-guidelines-on-the-management-of-twin-pregnancies-a-comparative-review
#10
REVIEW
Omer Weitzner, Jon Barrett, Kellie E Murphy, John Kingdom, Amir Aviram, Elad Mei-Dan, Liran Hiersch, Greg Ryan, Tim Van Mieghem, Nimrah Abbasi, Nathan S Fox, Andrei Rebarber, Vincenzo Berghella, Nir Melamed
Twin gestations are associated with increased risk of pregnancy complications. However, high-quality evidence regarding the management of twin pregnancies is limited, often resulting in inconsistencies in the recommendations of various national and international professional societies. In addition, some recommendations related to the management of twin gestations are often missing from the clinical guidelines dedicated to twin pregnancies and are instead included in the practice guidelines on specific pregnancy complications (eg, preterm birth) of the same professional society...
December 2023: American Journal of Obstetrics and Gynecology
https://read.qxmd.com/read/37120049/low-dose-aspirin-therapy-for-the-prevention-of-preeclampsia-time-to-reconsider-our-recommendations
#11
JOURNAL ARTICLE
Rebecca Horgan, Yara Hage Diab, Jerri Waller, Alfred Abuhamad, George Saade
The American College of Obstetricians and Gynecologists recommends initiation of 81 mg of aspirin daily for women at risk of preeclampsia between 12 and 28 weeks' gestation, optimally before 16 weeks, with continuation until delivery. The World Health Organization recommends that 75 mg of aspirin should be initiated before 20 weeks of gestation for women at high risk of preeclampsia. Both the Royal College of Obstetricians and Gynaecologists and the National Institute of Health and Care Excellence quality statement on "Antenatal Assessment of Pre-eclampsia Risk" request that healthcare providers prescribe low-dose aspirin to pregnant women at increased risk of preeclampsia daily from 12 weeks of gestation...
October 2023: American Journal of Obstetrics and Gynecology
https://read.qxmd.com/read/37043300/sepsis-in-pregnancy-and-the-puerperium-a-comparative-review-of-major-guidelines
#12
REVIEW
Sonia Giouleka, Eirini Boureka, Ioannis Tsakiridis, Konstantinos Lallas, Georgios Papazisis, Apostolos Mamopoulos, Ioannis Kalogiannidis, Apostolos Athanasiadis, Themistoklis Dagklis
INTRODUCTION: Sepsis is one of the leading causes of maternal morbidity and mortality worldwide and a major public health concern, often associated with delayed diagnosis, suboptimal management, and poor perinatal outcomes. OBJECTIVES: The aim of this study was to review and compare the most recently published influential guidelines on the prevention, diagnosis, and management of this complication during antenatal, intrapartum, and postpartum periods. EVIDENCE ACQUISITION: A descriptive review of guidelines from the Royal College of Obstetricians and Gynaecologists (RCOG), the Society for Maternal-Fetal Medicine (SMFM), the Society of Obstetric Medicine of Australia and New Zealand (SOMANZ), the World Health Organization (WHO), and the Society of Obstetricians and Gynecologists of Canada (SOGC) on maternal and puerperal sepsis was carried out...
April 2023: Obstetrical & Gynecological Survey
https://read.qxmd.com/read/36846687/comparison-of-risk-assessments-for-venous-thromboembolism-during-the-puerperium
#13
JOURNAL ARTICLE
Xianggui Luo, Weishe Zhang, Renhui Zhou, Xiangning Tu, Qiaohong Guo, Shuzhen Yuan, Yanhua Zhao, Chenlin Pei, Xinhua Wu, Jiahao Zhu, Yi Huang, Jingrui Huang, Qi Li
OBJECTIVE: To compare the predictive value of different risk assessment methods for puerperium venous thromboembolism (VTE). METHODS: This study included 55 women with and 165 women without puerperal VTE. Using the cases, 11 assessment methods were compared. RESULTS: The area under the curve (AUC) value of the 11 assessments was highest for the modified Caprini risk assessment model for pregnancy (a modified risk scoring method from Caprini, AUC = 0...
February 2023: Heliyon
https://read.qxmd.com/read/36637987/contraceptive-methods-in-adolescence-a-narrative-review-of-guidelines
#14
REVIEW
Kosmas Margaritis, Georgia Margioula-Siarkou, Chrysoula Margioula-Siarkou, Stamatios Petousis, Assimina Galli-Tsinopoulou
PURPOSE: Adolescent pregnancy, while recently in decline, remains a matter in need of addressing. Education and counselling are deemed crucial and this review aims at comparing published contraceptive guidelines, thus resolving any surrounding misconceptions. MATERIALS AND METHODS: Recently published contraception guidelines regarding adolescent pregnancy were retrieved. In particular, guidelines and recommendations from ACOG, RCOG, SOCG, AAP, CPS, NICE, CDC, and WHO were compared and reviewed based on each guideline's method of reporting...
February 2023: European Journal of Contraception & Reproductive Health Care
https://read.qxmd.com/read/36503152/intrahepatic-cholestasis-of-pregnancy-a-comparison-of-society-for-maternal-fetal-medicine-and-the-royal-college-of-obstetricians-and-gynaecologists-guidelines
#15
REVIEW
Rebecca Horgan, Christiana Bitas, Alfred Abuhamad
This study reviewed the literature regarding the diagnosis, antepartum surveillance, and timing of delivery of pregnancies complicated by intrahepatic cholestasis of pregnancy, comparing the guidelines published by the Society for Maternal-Fetal Medicine in February 2021 and those published by the Royal College of Obstetricians and Gynaecologists in the United Kingdom in June 2022. Several key differences exist in the clinical guidelines between the 2 organizations. With regard to the diagnosis of intrahepatic cholestasis of pregnancy, the Society for Maternal-Fetal Medicine considers any elevation in bile acids above the upper limit of normal in the setting of maternal pruritus diagnostic of intrahepatic cholestasis of pregnancy, whereas the Royal College of Obstetricians and Gynaecologists requires a pregnancy-specific elevated bile acid level of ≥19 mmol/L for diagnosis...
March 2023: American journal of obstetrics & gynecology MFM
https://read.qxmd.com/read/36347147/-it-will-dictate-how-many-children-i-will-have-women-s-decision-making-in-pregnancy-following-a-previous-caesarean-birth-cb
#16
JOURNAL ARTICLE
Malitha Monis, Rhona O'Connell, Tom Andrews
Vaginal birth after caesarean (VBAC) is supported in systematic reviews (Wu et al., 2019) and national guidelines (RCOG, 2015) and women are expected to be involved in the decision-making process for either a repeat caesarean birth or planned VBAC. AIM: To develop a Grounded Theory (GT) of women's decision making of their birth choices in pregnancy following a previous caesarean birth (CB) OBJECTIVE: To explore what determines women's birth choice and their decision making for birth following a previous CB...
October 30, 2022: Midwifery
https://read.qxmd.com/read/36210844/safety-and-effectiveness-of-fondaparinux-as-a-postpartum-thromboprophylaxis-during-puerperium-among-muslim-women-a-single-centre-prospective-study
#17
JOURNAL ARTICLE
Normaliza Muhamad, Muhammad Azrai Abu, Aida Hani Kalok, Mohd Nasir Shafiee, Shamsul Azhar Shah, Nor Azlin Mohamed Ismail
Background: Venous thromboembolism (VTE) remains one of the leading causes of maternal morbidity and mortality, with postpartum period carrying the greatest risk. Perinatal thromboprophylaxis is often administered based on risk-factor assessment. Low molecular weight heparin has a proven safety profile in the obstetrics population, however, its porcine-derived content may lead to reduced uptake amongst certain religious groups. We aimed to evaluate the safety of fondaparinux as an alternative postpartum thromboprophylaxis...
2022: Frontiers in Pharmacology
https://read.qxmd.com/read/36203153/pregnancy-and-thrombosis-risk-for-women-without-a-history-of-thrombotic-events-a-retrospective-study-of-the-real-risks
#18
JOURNAL ARTICLE
Elisavet Grouzi, Abraham Pouliakis, Αnthi Aktypi, Anna Christoforidou, Paraskevi Kotsi, Georgios Αnagnostou, Aikaterini Foifa, Emmanouil Papadakis
BACKGROUND: During pregnancy and puerperium women are at high VTE risk. Current guidelines recommend dynamic VTE-risk assessment during pregnancy. Based on related RCOG-guidelines we constructed a digital VTE-risk assessment tool: PATrisks ( www.PATrisks.com ). Using this tool, we retrospectively evaluated the thrombotic risk in 742 women from our previous work, women who received thromboprophylaxis based on clinical experience for A) pregnancy complications, B) IVF treatment and C) prothrombotic tendency, in order to investigate whether that practice was justified according to the PATrisks scoring system for VTE prevention...
October 6, 2022: Thrombosis Journal
https://read.qxmd.com/read/36092005/intrapartum-cardiotocography-trace-pattern-pre-processing-features-extraction-and-fetal-health-condition-diagnoses-based-on-rcog-guideline
#19
JOURNAL ARTICLE
Shahad Al-Yousif, Ihab A Najm, Hossam Subhi Talab, Nourah Hasan Al Qahtani, M Alfiras, Osama Ym Al-Rawi, Wisam Subhi Al-Dayyeni, Ali Amer Ahmed Alrawi, Mohannad Jabbar Mnati, Mu'taman Jarrar, Fahad Ghabban, Nael A Al-Shareefi, Mustafa Musa Jaber, Abbadullah H Saleh, Nooritawati Md Tahir, Huda T Najim, Mayada Taher
CONTEXT: The computerization of both fetal heart rate (FHR) and intelligent classification modeling of the cardiotocograph (CTG) is one of the approaches that are utilized in assisting obstetricians in conducting initial interpretation based on (CTG) analysis. CTG tracing interpretation is crucial for the monitoring of the fetal status during weeks into the pregnancy and childbirth. Most contemporary studies rely on computer-assisted fetal heart rate (FHR) feature extraction and CTG categorization to determine the best precise diagnosis for tracking fetal health during pregnancy...
2022: PeerJ. Computer Science
https://read.qxmd.com/read/35835531/study-protocol-for-a-randomised-controlled-trial-on-the-use-of-intraoperative-ultrasound-guided-laparoscopic-ovarian-cystectomy-ugloc-as-a-method-of-fertility-preservation-in-the-management-of-benign-ovarian-cysts
#20
JOURNAL ARTICLE
Lorraine S Kasaven, Benjamin P Jones, Sadaf Ghaem-Maghami, Jan Yvan Jos Verbakel, Mona El-Bahrawy, Srdjan Saso, Joseph Yazbek
INTRODUCTION: The lifetime risk of women undergoing surgery for the presence of benign ovarian pathology in the UK is 5%-10%. Despite minimally invasive surgical techniques, evidence suggests a number of healthy ovarian follicles and tissues are resected intraoperatively, resulting in subsequent decline of ovarian reserve. As such, there is an increasing demand for the implementation of fertility preservation surgery (FPS). This study will evaluate the effect on ovarian reserve following two different surgical interventions for the management of benign ovarian cysts...
July 14, 2022: BMJ Open
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